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i <br /> � <br /> CHART NO. <br /> everett '�" <br /> o �M f �'V �>a S'�i I�t� �O/j�j�Q'/ <br /> e � <br /> $ <br /> city of Everen � � g <br /> � <br /> o � <br /> � W <br /> 'V <br /> Sewer Applicat�n and Permit <br /> � � � � <br /> No. 2$0 4 9 `" DATE� ���•r �+ 1990 <br /> Service Address 4�72 Dlack lorest Lanr Utility Account No. <br /> Billing Address �"' <br /> City,State,Zip en *� �• Permit Fee $ lO.OQ <br /> Owner ThOa� �g�C°� - Connection Charge <br /> Connec[ion by pLt'• plur Trunk $ <br /> Address Lateral $ <br /> Total Connection Charge $ <br /> Phone 252-84k3 Utility Devalopment Fee i <br /> i <br /> Legal Description: Water $ � <br /> Lot Sewer $ ; <br /> � <br /> g� Total Development Fee $ — i <br /> Plat — <br /> Unplatted Description: Sewer Bond District � <br /> Abutting Lot line <br /> N, S, E,W tt• <br /> Type of Permit kenair Approved By <br /> i <br /> Remarks Issued By Mersaret McL�d _ ' <br /> I <br /> Customer Signature '' <br /> � <br /> . , <br /> IMPORTANT! � <br /> 1 <br /> CALI i-800-424-5555 4&HOURS � <br /> PRIOR TO DIGGING �� <br /> CALL 259-8810 FOR INSPECTION Inspection By � <br /> Date Inspected � � L" -5/ <br /> SEE SKETCH ATTACHED NO. ZBO�S <br /> W SPECTION <br /> � <br /> I <br /> � <br />